Nursing Elites

1. Which individual is making a food choice based on negative association?

• A. A tourist from China who rejects a hamburger due to unfamiliarity
• B. A child who spits out his mashed potatoes because they taste too salty
• C. A teenager who grudgingly accepts an offer for an ice cream cone to avoid offending a close friend
• D. An elderly gentleman who refuses a peanut butter and jelly sandwich because he considers it a child's food

Correct answer: D

Rationale: Choice D is the correct answer because the elderly gentleman is refusing the peanut butter and jelly sandwich due to his negative association of considering it a child's food. This negative association influences his food choice. Choices A, B, and C do not involve negative associations with the food being consumed. Choice A is based on unfamiliarity, Choice B is due to taste preference, and Choice C is driven by social considerations rather than negative food association.

2. How should a healthcare provider respond to a parent concerned about their child's recurrent ear infections?

• A. Suggest regular use of over-the-counter ear drops
• B. Recommend a thorough evaluation by an ENT specialist
• C. Advise on increased antibiotic use
• D. Encourage avoiding all physical activities

Correct answer: B

Rationale: When a parent expresses concerns about their child's recurrent ear infections, the best course of action is to recommend a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist. This specialist can conduct a comprehensive assessment to identify the underlying cause of the ear infections and provide appropriate treatment options. Choice A is incorrect because suggesting over-the-counter ear drops without a proper evaluation may not address the root cause of the issue. Choice C is also incorrect as increasing antibiotic use without understanding the specific cause can lead to antibiotic resistance and may not be necessary. Choice D is incorrect as avoiding physical activities is unrelated to addressing recurrent ear infections and is not a recommended approach.

3. How should a caregiver manage a child with a known allergy to peanuts?

• A. Avoid all peanut-containing products
• B. Encourage regular exposure to peanuts
• C. Administer antihistamines daily
• D. Recommend peanut-containing supplements

Correct answer: A

Rationale: Avoiding peanut-containing products is crucial for managing a peanut allergy and preventing allergic reactions. Choice B suggesting regular exposure to peanuts can be harmful and trigger severe allergic reactions in a child with a peanut allergy. Regular exposure can increase the risk of anaphylaxis. Choice C of administering antihistamines daily is not a primary prevention strategy and should not be the first-line approach for managing a peanut allergy. Antihistamines only treat symptoms and do not prevent the allergic reaction. Choice D of recommending peanut-containing supplements can also lead to severe allergic reactions and is not recommended for a child with a known peanut allergy. It is essential to eliminate all sources of peanuts to prevent accidental exposure and potential life-threatening reactions.

4. Which of the following statements about nutrition is true?

• A. Nutrition is the only factor that influences health.
• B. Nutrient needs are the same for everyone.
• C. Certain nutrients are more important than others.
• D. Nutrient recommendations are designed to meet the needs of most healthy people.

Correct answer: D

Rationale: The correct answer is D. Nutrient recommendations are designed to meet the needs of most healthy people, providing guidelines for a balanced diet. Choice A is incorrect because while nutrition plays a crucial role in health, it is not the only factor influencing it. Choice B is incorrect as nutrient needs vary based on factors like age, gender, activity level, and health status. Choice C is incorrect because all nutrients are essential for different bodily functions, and none can be deemed universally more important than others.

5. A weight reduction regimen calls for a daily intake of 1400 kilocalories, which includes 30 grams of fat. What percentage of the total energy is contributed by fat?

• A. 8.50%
• B. 15.00%
• C. 19.00%
• D. 25.50%

Correct answer: C

Rationale: To calculate the percentage of total energy contributed by fat, first determine the energy from fat by multiplying the fat amount (30g) by the energy density of fat (9 kcal/g), which equals 270 kcal. Then, divide the energy from fat (270 kcal) by the total energy intake (1400 kcal) and multiply by 100 to find the percentage: (270 kcal / 1400 kcal) * 100 = 19.29% ≈ 19.00%. Therefore, fat contributes approximately 19% of the total energy in the diet. Choice A (8.50%) is too low, while choices B (15.00%) and D (25.50%) are incorrect calculations based on the given information.

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